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John T Rietz

NPI #1306967120 in Lewiston, Idaho

Provider Information

NPI Number
1306967120
Entity Type
Organization
Organization Name
John T Rietz
Primary Specialty
Optometrist
Enumeration Date
Apr 2, 2007
Last Updated
Nov 5, 2009

Practice Location

Address
1616 19TH AVE
City
Lewiston
State
Idaho
ZIP Code
83501-4005
Phone
(208) 746-3626

Authorized Official

Name
DR. JOHN T RIETZ, OD
Title
OPTOMETRIST
Phone
(208) 746-3626

Specialties & Taxonomy Codes

Specialty
Optometrist

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